LLOYD A SHABAZZ M.D. NPI 1720082183

NPI Information

NPI: 1720082183
Provider Name: LLOYD A SHABAZZ, M.D.
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

PECOS Registration: Yes

Address:
355 CRAWFORD ST
STE 300
PORTSMOUTH, VA
ZIP 23704
Phone: (757) 396-6333
Get Directions

Lloyd A Shabazz, M.D. is a hematology and oncology internal medicine in Portsmouth, VA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Lloyd A Shabazz, M.D. NPI is 1720082183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

355 CRAWFORD ST
STE 300
PORTSMOUTH, VA
ZIP 23704-819
Phone: (757) 396-6333
Fax: (757) 396-6367

The NPI 1720082183 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 1/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	0101058359	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	261076	OTHER	VIRGINIA	MAMSI/MDIPA
2	4493043	OTHER	VIRGINIA	AETNA PPO/MC
3	3600387	OTHER	VIRGINIA	UNITED HEALTHCARE
4	264301	OTHER	VIRGINIA	ANTHEM BCBS
5	13658	OTHER	VIRGINIA	OPTIMA HEALTH PLAN
6	A95944	MEDICARE UPIN	VIRGINIA
7	7905448	OTHER	NORTH CAROLINA	NC MEDICAID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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